BECOME A MEMBER!

Ascutney Mountain Audubon Society

A Chapter of the National Audubon Society

PO Box 191

Springfield, VT 05156

Chapter Code X05

Please complete:

Name: ____________________________________________________

Address:___________________________________________________

Town, State, Zip:_____________________________________________

Check all that apply:

I want to join Ascutney Mountain Audubon Society and the National Audubon Society at the introductory rate of $20.

I do not wish to receive AUDUBON magazine.

Do not share my name with any other organization.

I want to be a friend of Ascutney Mountain Audubon Society for $15.

Send this form and a check to: Ascutney Mountain Audubon Society, PO Box 191, Springfield, VT 05156